Organization
CHILDREN UNLIMITED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA L PEARSON-KING SLP/CCC (AUTHORIZED REPRESENTATIVE)
(603) 901-3050
Entity
Organization
Contact information
Practice address
182 W MAIN ST, CONWAY, NH 03818-6140
(603) 447-6356
(603) 447-1114
Mailing address
182 W MAIN ST, PO BOX 986, CONWAY, NH 03818-6140
(603) 447-6356
(603) 447-1114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
1115
NH
235Z00000X
Speech-Language Pathologist
0327
NH
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99566587
EDS PROVIDER NUMBER
NH
Enumeration date
10/21/2008
Last updated
03/22/2018
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